go back

Arizona rates for HCPCS J9245

Injection, melphalan HCl, not otherwise specified, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $162.18 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $87.10 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $275.42 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $95.50 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $138.04 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $125.89 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $158.49